| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
672 |
618 |
$36K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
306 |
302 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
374 |
359 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
86 |
86 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
88 |
87 |
$7K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
230 |
225 |
$4K |
| 92587 |
|
267 |
254 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
278 |
275 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
19 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$989.28 |
| 86580 |
|
58 |
58 |
$323.24 |
| 99173 |
|
94 |
86 |
$0.00 |
| 90670 |
|
15 |
15 |
$0.00 |
| 90648 |
|
14 |
14 |
$0.00 |
| 97802 |
|
649 |
526 |
$0.00 |
| 90686 |
|
112 |
110 |
$0.00 |